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Injection
Chap. 35
Question | Answer |
---|---|
THE ADMINISTRATION OF A DRUG INTO THE DERMAL LAYER OF THE SKIN JUST BENEATH THE EPIDERMIS | INTRADERMAL INJECTION |
HOW MUCH LIQUID IS USED AT THE SITE? | 0.1 ML |
WHAT TYPES OF TESTING ARE DONE WITH THE INTRADERMAL METHOD? | ALLERGY TESTING AND TUBERCULOSIS (TB) SCREENING |
COMMON SITES FOR INTRADERMAL INJECTIONS ARE: | THE INNER LOWER ARM, UPPER CHEST, AND THE BACK BENEATH THE SCAPULAE. THE LEFT ARM IS COMMONLY USED FOR TB SCREENING AND THE RIGHT ARM IS USED FOR ALL OTHER TESTS |
SIZE SYRINGE AND NEEDLE TO USE IN AN INTRADERMAL SITE: | STERILE 1-ML SYRINGE CALIBRATED INTO HUNDREDTHS OF A ML (TB SYRINGE) AND A #25 TO #27 GAUGE SAFETY NEEDLE THAT IS 1/4 TO 5/8 IN LONG |
THE NEEDLE ENTERS THE SKIN AT WHAT ANGLE FOR AN INTRADERMAL INJECTION? | 5 TO 15 DEGREE ANGLE |
HOW FAR SHOULD YOU INJECT THE NEEDLE INTO THE SKIN FOR AN INTRADERMAL INJECTION? | JUST FAR ENOUGH TO INSERT THE TIP OF THE BEVEL THROUGH THE EPIDERMIS. THE OUTLINE OF THE BEVEL SHOULD BE VISIBLE UNDER THE SKIN SURFACE. |
BEVEL UP OR DOWN? | BEVEL UP. STUDIES SHOW IT BREAKS THE SKIN AT A FASTER RATE THAN BEVEL DOWN. NURSES PREFER THIS METHOD. |
AN INJECTION JUST BENEATH THE SKIN INTO THE TISSUE IS CALLED | SUBCUTANEOUS INJECTION |
THE KINDS OF DRUGS ADMINISTERED BY SUBQ ROUTE ARE: | VACCINES, INSULIN, AND HEPARIN |
COMMON SITES FOR SUBQ INJECTIONS ARE: | OUTER ASPECT OF THE UPPER ARMS,THE ANTERIOR ASPECT OF THE THIGHS, ABDOMEN, THE SCAPULAR AREAS OF THE UPPER BACK, UPPER VENTROGLUTEAL AND DORSOGLUTEAL AREAS |
WHAT IS THE DOSE ADMINISTERED VIA SUBQ ROUTE? | 0.5 TO 1 ML |
TYPE OF SYRINGE THAT IS GENERALLY USED VIA SUBQ ROUTE IS: | 2 ML |
THERE ARE TWO CIRCUMSTANCES THAT DIFFERENT SYRINGES ARE USE. THEY ARE: | INSULIN BEING ADMINISTERED, A INSULIN SYRINGE IS USED; HEPARIN BEING ADMINISTERED, A TB SYRINGE OR PREFILLED CARTRIDGE IS USED |
HOW DO WE DETERMINE THE NEEDLE SIZE AND LENGTHS? | BASED ON THE CLIENT'S BODY MASS, THE INTENDED ANGLE OF INSERTION, AND THE PLANNED SITE. |
AN ADULT OF NORMAL WEIGHT, AN INJECTION TO BE GIVEN AT A 45 DEGREE ANGLE WHAT SIZE GAUGE AND NEEDLE SHOULD BE USED? | #25 GAUGE AND 5/8 IN NEEDLE |
IF YOU ARE INJECTING A NORMAL SIZE ADULT AT A 90 DEGREE ANGLE WHAT SIZE NEEDLE SHOULD BE USED? | 3/8 IN NEEDLE |
WHAT SIZE NEEDLE AND WHAT ANGLE SHOULD A CHILD BE GIVEN A SUBQ INJECTION? | 1/2 IN NEEDLE AT A 45 DEGREE ANGLE |
ONE METHOD THAT IS USED TO DETERMINE THE LENGTH OF A NEEDLE IS: | TO PINCH THE TISSUE AT THE SITE AND SELECT A NEEDLE LENGTH THAT IS HALF THE WIDTH OF THE SKINFOLD. |
TO DETERMINE THE ANGLE OF INSERTION: IF 1 IN OF TISSUE CAN BE GRASPED AT THE SITE, WHAT ANGLE OF INSERTION SHOULD BE USED? | 45 DEGREE |
TO DETERMINE THE ANGLE OF INSERTION: IF 2 IN OF TISSUE CAN BE GRASPED AT THE SITE, WHAT ANGLE OF INSERTION SHOULD BE USED? | 90 DEGREE |
WHEN ADMINISTERING INSULIN TO ADULTS, WHAT IS THE CURRENT STANDARD NEEDLE GAUGE AND LENGTH? | #30 GAUGE. SHORT NEEDLES 5/16 ARE AVAILABLE WITH 0.3-0.5 ML, 1.0, AND 2.0 ML CAPACITIES |
TRUE OR FALSE. IT IS OK TO USE THE SAME INJECTION SITE EVERYTIME YOU ADMINISTER MEDICATION VIA SUBQ ROUTE? | FALSE. SUBQ INJECTION SITES NEED TO BE ROTATED IN AN ORDERLY FASHION TO MINIMIZE TISSUE DAMAGE, AID ABSORPTION, AND AVOID DISCOMFORT |
DIFFERENT SITES HAVE DIFFERENT ABSORPTION RATES. IS ABSORPTION FASTER OR SLOWER IN ABDOMEN AS APPOSED TO THE ARMS? | FASTER. |
WHICH SITE(S) HAS THE SLOWEST ABSORPTION? | THE THIGHS AND BUTTOCKS |
WHEN GIVING AN INJECTION, A NURSE MUST DO WHAT, PRIOR TO ADMINISTERING THE MEDICATION? EXCEPT FOR WHEN GIVING INSULIN OR HEPARIN. | ASPIRATE TO DETERMINE WHETHER THE NEEDLE HAD ENTERED A BLOOD VESSEL. ABSENCE OF BLOOD IS BELIEVED TO INDICATE THAT THE NEEDLE WAS IN SUBQ TISSUE AND NOT IN THE MORE VASCULAR MUSCULAR TISSUE |
WHEN ADMINISTERING A HEPARIN INJECTION REQUIRES SPECIAL PRECAUTIONS BECAUSE OF THE DRUG'S ANTICOAGULANT PROPERTIES. THEY ARE: | SELECT A SITE ON THE ABDOMEN AT LEAST 2 IN AWAY FROM THE UMBILICUS AND ABOVE THE LEVEL OF THE ILIAC CRESTS. SOME AGENCIES ALLOW USING THE THIGHS OR ARMS AS ALTERNATE SITES. |
WHAT SIZE NEEDLE GAUGE AND LENGTH SHOULD BE USED WHEN ADMINISTERING HEPARIN? | A 3/8 IN, #25 OR #26 GAUGE NEEDLE OR SMALLER, AND INSERT IT AT A 90 DEGREE ANGLE. IF A CLENT IS VERY LEAN, USE A NEEDLE LONGER THAN 3/8 AND INSERT AT A 45 DEGREE ANGLE. |